关键词: 电解式可脱弹簧圈;机械式可脱弹簧圈;颅内动脉瘤;血管内栓塞治疗

    摘 要:目的 比较电解式可脱弹簧圈(GDC)和机械式可脱弹簧圈(MDS)栓塞治疗颅内动脉瘤的效果. 方法 1996-05/2000-10，采用MDS栓塞治疗颅内动脉瘤28例29个动脉瘤;采用GDC栓塞治疗颅内动脉瘤41例43个动脉瘤.对两种栓塞材料的特点和治疗效果进行分析. 结果 采用MDS栓塞治疗29个动脉瘤，完全栓塞23个，次全栓塞3个及不全栓塞3个.1例栓塞术中血栓形成，遗留1例肢体偏瘫.采用GDC栓塞治疗43个动脉瘤，完全栓塞35个，次全栓塞4个及不全栓塞4个.术中血栓形成2例，经尿激酶溶栓和抗凝治疗，1例恢复另1例遗留轻瘫.微导丝刺破动脉瘤壁1例，致密填塞弹簧圈后治愈.两组患者均无死亡. 结论 GDC和MDS均为栓塞治疗颅内动脉瘤理想材料.MDS价格低廉，GDC较MDS更安全.

    Comparison between effects of endovascular treat┐ment for intracranial aneurysms with Guglielmi de┐tachable coils and mechanical detachable spirals

    ZHAO Zhen-Wei，GAO Guo-Dong，QIN Huai-Zhou，LI Yong-Lin，ZHAO Ji-Pei，CHEN Ling Department of Neurosurgery，Tangdu Hospital，Fourth Military Medical University，Xi'an710038，China

    Keywords:Guglielmi detachable coils;mechanical detachable spirals;intracranial aneurysm;endovascnlar em-bolization

    Abstract:AIM To compare the effect of endovascular treat-ment for intracranial aneurysms with Guglielmi detachable coils(GDC)and mechanical delachable spirals(MDS).METHODS From May1996to October2000，28patients with29intracranial aneurysms were treated with MDS ......